what it is and how to treat it

What is acne and what are the causes of it?

Acne is a very common problem that causes pimples to form on the face, neck, back or chest area. It varies in type and severity, from mild outbreaks with blackheads and whiteheads, to severe outbreaks with cysts. Acne can result in scars that are highly visible and affect the patient’s self-esteem.

The skin disease acne vulgaris is most common in industrialized nations. Although its onset is typical of puberty due to hormonal changes, complaints of unpleasant acne symptoms can persist until later, especially in women.

Активно акне

What is active acne or acne vulgaris?

It is usually assumed that only young people can suffer from acne during puberty, but the problem can actually occur in people of all age groups and cause scarring and therefore self-esteem problems. The condition, known as 'acne vulgaris', is non-contagious and is most characterised by pustules. They are mainly on the face, but acne on the back, acne on the buttocks, neck, chest and shoulders can also be observed. Pimples are caused by inflammation and growing infection of the sebaceous glands.The term "pimple" is used to describe all comedones or papules and pustules formed as a result of accumulated sebum in the sebaceous glands. Unfortunately, bacteria, most notably P.acnes, grow extremely quickly in this. They colonize the duct and the sebum begins to decompose, further inflammatory substances are formed, and they determine the appearance of painful and unpleasant papules and pustules.The severity of acne varies from mild - acne comedonica, to moderate - acne papulopustulosis and to severe - acne conglobata.

The condition is caused by blockage of hair follicles in the skin due to high production of sebum, an oily substance that hydrates the skin and hair. Sebum mixes with dead skin cells, clogging the hair follicle, causing it to swell, causing whiteheads. If the follicle is open to the skin, the dot created will be black. In more serious cases, the pimples can become contaminated by the skin’s natural bacteria, causing infection that leads to papules, pustules, nodules or cysts.

What are the causes of acne?

Among the key factors that are also known to medical professionals as acne triggers are most notably:

Genetic predisposition

Because skin type is determined by genes, some people are more prone to inflammation, pigmented patches or specific acne on the back, for example. If your parents suffered from acne, it is very likely that you will develop the condition too.

Changes in hormone levels

The work of the sebaceous glands is controlled by hormones, which rise in adolescence, and this is why acne occurs more often then. But hormone levels also change at other stages of life. For example, in women during the menstrual cycle when an exacerbation of acne can occur.


The appearance of acne on the face and back can cause anabolic steroids and the intake of lithium preparations. Corticosteroids in high doses, antiepileptic drugs, etc. are also possible causes.


There is evidence of a direct relationship between the type of diet and acne. Sugary foods and dairy products taken in excessive quantities can cause acne or exacerbate it.


When the body is under continuous stress, the hormones cortisol and adrenaline are activated. They stimulate increased sebum production, acne worsens and pimples appear in much larger areas of the body.


Numerous studies prove that acne can worsen in people who abuse smoking. The cause is oxidative stress and altered sebum composition caused by the chemicals in cigarettes.

Improper skin care

If the skin is washed with products that are soap-based and more aggressive, the skin’s natural balance is disturbed. Excessively hot water also contributes to this. Certain cosmetic products and types of makeup not suitable for the skin type can also clog pores and lead to acne breakouts after just one application.

Some people undertake home treatment of acne with special creams, serums or remedies prescribed by a dermatologist. According to the severity of the condition, the doctor may deem that antibiotic treatment of acne is imperative.

Far more effective is the treatment of such skin diseases with the application of modern therapies. The dermatologists at Skin Line Aesthetic Clinics will offer you the most appropriate methods according to the type of your acne.

Treatment of active acne in Skin Line

At Skin Line Aesthetic Clinics, we have the latest generation of equipment, which, after a thorough examination by experienced specialists, will be applied to your individual course of treatment.

Dealing with active acne is possible thanks to innovative laser therapy and mesotherapy, as well as a combination of both, and in case of severe manifestations, concomitant antibiotic treatment is also prescribed.

Or, if you have old acne scars on your face and body, Skin Line offers laser fractional resurfacing, fractional radiofrequency microneedling or additional aesthetic and cosmetic procedures to erase them.

Acne vulgaris, like any other skin problem requires a serious approach. For beautiful, acne-free skin Skin Line offers you treatments with guaranteed efficacy such as:

pochistvane na litse dalboko

Products for local application

After a thorough dermatological examination, the dermatologists at Skin Line will offer you the most appropriate treatment for your type of acne. Topical products, such as lotions and creams, can help reduce sebum production, kill bacteria, and dry out pimples. Antibiotics can be taken in pill form or applied topically to the skin. They help kill the bacteria that cause inflammation. Retinoids can help reduce sebum production, clear pores and prevent new pimples from forming.

Hydrafacial Syndeo за третиране на акне

Acne treatment with Hydrafacial Syndeo

Hydrafacial Syndeo offers a non-invasive solution for treating oily and acneic skin and treating mild forms of active acne. Choose from a curated selection of powerful boosters to get results like: fewer comedones; purified, detoxified skin; accelerated skin surface renewal and healthier skin

третиране на пигментни петна с Lumecca IPL

Acne treatment with IPL Lumenis Stellar M22 or InMode Lumecca IPL

The therapy is designed to treat active acne and uses intense pulsed high-energy light (IPL). It penetrates the deep layers of the dermis, eliminating acne-causing bacteria, reducing inflammation and regulating excessive sebum production.Lumenis Stellar M22 or InMode Lumecca are an excellent non-invasive solution for acne treatment and have far fewer side effects compared to perioral medications.

третиране на пигментни петна с мезотерапия

Mesotherapy for acne

One of Skin Line's most effective therapies is Mesoline Clear mesotherapy, which regulates sebum activity and serves as prevention of post-inflammatory hyperpigmentation.Mesotherapy is anti-inflammatory, acts as a regulator of immune activity and manages to control the activity of acneic manifestations. A clear and well hydrated skin is obtained.

face cleaning

Facial cleansing

Cleansing your face is an important part of your skin care routine. It helps remove dead cells, dirt and excess sebum that can clog pores and lead to acne, comedones and other skin problems. Regular facial cleansing by an esthetician can also help improve the texture, color and elasticity of the skin.

mesotherapy acne 3

Mesotherapy for acne

One of Skin Line's most effective therapies is mesotherapy, which regulates sebum activity and serves as a prevention of post-inflammatory hyperpigmentation.Mesotherapy is anti-inflammatory, acts as a regulator of immune activity and manages to control the activity of acneic manifestations. A clear and well hydrated skin is obtained.

pochistvane na litse laser

Acne treatment with Nd:YAG laser

Treatment of active acne with Nd:YAG laser is one of the newest and most effective methods of treating this disease. The Nd:YAG laser emits light with a wavelength of 1064 nm, which heats the deep layers of the skin. This leads to the destruction of the bacteria that cause the inflammation. What are the benefits of the Nd:YAG laser for acne treatment? This method is effective for all types of active acne, including mild, moderate and severe forms. It helps to reduce inflammation and redness. Reduces the appearance of acne scars.

LASERfacial pict

Combination therapy

Skin Line Aesthetic Clinics has created a unique procedure for treating active acne with a complex therapy combining LASER facial acne and injectable mesotherapy. Both methods are extremely effective for treating acneic skin superficially and deeply.Laser kills the bacteria causing acne and promotes collagen synthesis to regenerate and smooth out scars and bumps.Injectable mesotherapy, on the other hand, helps regulate sebum secretion and prevents post-inflammatory hyperpigmentation.

Treatment of acne scars in Skin Line

After successful healing of active acne, most patients are left with shallower or deeper scars on the skin affected by the acne.

Fractional laser resurfacing is one of the most popular methods for treating acne scars, acneic and oily skin, and pigment spots. The condition of the skin after CO2 laser treatment improves with time, and in addition to erasing all the bumps and imperfections, it also looks younger and firmer.

Choosing the right acne treatment starts with a consultation with an experienced professional. The dermatologists at Skin Line will take into account the individual characteristics of your skin and offer you an individualized treatment approach. This may include a specific procedure or a combination of several methods, as well as oral antibiotics for acne. You will also receive professional advice on your skin care routine.

Fighting acne is usually not easy, but with the right treatment and subsequent proper control, this unpleasant dermatological problem can be overcome to regain your self-confidence.

Our dermatologists will offer you an appropriate therapy to erase acne scars. This may include laser fractional peels with a CO2 laser, fractional radiofrequency microneedling with Morpheus8 or laser treatments with ResurFX with on Lumenis.

третиране на белези от акне с СО2 лазер

Treatment of acne scars with CO2 laser

One of the most effective methods for erasing acne scars is treating them with a CO2 laser. When the CO2 laser is used to treat acne scars, its light penetrates the skin and destroys the cells that form the scar. It is effective for all types of acne scars, including deep, rough or raised scars.It helps to smooth skin texture, reduce redness and leaves no scarring.

третиране на белези от акне с Dermapen

Treatment of acne scars with Dermapen

Dermapen is an automated microneedling device with a disposable 16 microneedle tip. The Dermapen microneedling uses patented vertical skin penetration technology that can create an astounding 1920 punctures per second. The action of Dermapen's vertical tip creates invisible micro-injuries to the skin while stimulating the skin's natural ability to regenerate by increasing the production of new collagen. Treating acne scars with Dermapen is an effective method of improving skin texture and appearance.

morpheus8 for acne scars

Treating acne scars with Morpheus8

Morpheus8 is a fractionated radiofrequency procedure for extremely precise remodeling of the skin and subcutaneous tissue. The result is smoother skin and a radiant glow to the face and body. Morpheus8 is the world's first and only full-body subcutaneous fat remodeling device and is part of InMode's BODYtite radiofrequency platform. Morpheus8 uses a network of extremely thin, gold-plated electrodes to deliver a precisely dosed amount of radiofrequency energy to a precisely programmed depth under the skin. Depending on the area being treated, different tips are used with 12, 24 or 40 needles that can penetrate to depths from 0.5mm to 7mm under the skin. Morpheus8 can be an extremely effective acne treatment. The treatment can shrink or shut down the sebaceous glands under the skin, preventing excess skin oil production that leads to acne.

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